Chapter 17: Pediatric Emergencies LOBJ

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Once you have completed this chapter you should be able to:

KNOWLEDGE OBJECTIVES

Describe differences between a child’s and an adult’s anatomy. (pp 363–364)

  1. Discuss examination process for a child. (pp 364–366)
  2. Describe how to implement the pediatric assessment triangle (PAT). (pp 364–366)
  3. Discuss normal rates of respiration and pulse for a child. (pp 365–366)
  4. Discuss symptoms and effects of high body temperature in a child. (p 366)
  5. Explain differences between performing the following skills on a child and on an adult:
    • Opening airway. (p 367)
    • Basic life support. (p 367)
    • Suctioning. (p 367)
    • Inserting an oral airway. (p 368)
  1. Describe how to treat a child and an infant with:
    • A mild (partial) airway obstruction. (pp 368–369)
    • A severe (complete) airway obstruction. (pp 369–371)
    • A swallowed object. (p 371)
    • Respiratory distress. (p 371)
    • Respiratory failure. (pp 371–372)
    • Circulatory failure. (p 372)
  1. Describe how to treat the following illnesses and medical emergencies:
    • Altered mental status. (p 372)
    • Asthma. (pp 372–373)
    • Croup. (p 373)
    • Epiglottitis. (pp 373–374)
    • Drowning. (p 374)
    • Heat illnesses. (p 374)
    • High fever. (p 374)
    • Seizures. (pp 374–375)
    • Vomiting and diarrhea. (p 375)
    • Abdominal pain. (p 375)
    • Poisoning. (pp 375–377)
    • Sudden infant death syndrome. (p 377)
  1. Describe patterns of pediatric injury. (pp 377–378)
  2. Describe signs and symptoms of shock in pediatric patients. (p 378)
  3. Discuss effects of child restraint laws and car seat use on pediatric trauma. (pp 378–379)
  4. Explain steps you should take to care for a child who has signs of child abuse or sexual assault. (pp 379–380)
  5. Describe need for EMR critical incident stress debriefing. (p 380)

SKILLS OBJECTIVES      

  1. Demonstrate examination process for a child. (pp 364–366)
  2. Demonstrate implementation of the PAT. (pp 364–365)
  3. Demonstrate how to determine the respiration and pulse rates for a child. (pp 365–366)
  4. Demonstrate performance of the following skills on a child:
    • Opening the airway. (p 367)
    • Basic life support. (p 367)
    • Suctioning. (p 367)
    • Inserting an oral airway. (p 368) (Skill Drill 17-1)
  1. Demonstrate how to treat a child and an infant with:
    • A mild (partial) airway obstruction. (pp 368–369)
    • A severe (complete) airway obstruction. (pp 369–371)
    • A swallowed object. (p 371)
    • Respiratory distress. (p 371)
    • Respiratory failure. (pp 371–372)
    • Circulatory failure. (p 372)
  1. Demonstrate how to treat the following illnesses and medical emergencies:
    • Altered mental status. (p 372)
    • Asthma. (pp 372–373)
    • Croup. (p 373)
    • Epiglottitis. (pp 373–374)
    • Drowning. (p 374)
    • Heat illnesses. (pp 373–374)
    • High fever. (pp 373–374)
    • Seizures. (pp 374–375)
    • Vomiting and diarrhea. (p 375)
    • Abdominal pain. (p 375)
    • Poisoning. (pp 375–377)
    • Sudden infant death syndrome. (p 377)